Hi I have been hanging around in the background on the forum for some time now. But never had the confidence to post an introduction. Eventually forced myself to do that so here is a short summary of my medical history leading up to where I am now.
Around 10 years ago I noticed a swelling on the left side of my neck. Decided to ignore it and carry on. Didn't bother me to much.
That was followed by recurring anal fistulas that had to be laid open to heal at least twice a year. Eventually I came across a surgeon that got it sorted with by establishing a permanent fistula.
During one of the many visits to the theatre it was noted that I had this goiter. A ultrasound scan was done but never followed up on.
The surgeon that sorted my fistula mentioned that he looked and didn't find any evidence of crohn's disease. This was about 2 years ago.
Only recently I read somewhere that thyroid issues can cause crohn's that in turn can cause anal fistulas.
Soon after my GP send me a letter to follow up on the thyroid. Did test and found to be borderline hypo but not quite sure what caused it. Unfortunately I have not blood results from that time.
I was then sent for MRI and glucose tolerance tests. Everything came back normal. But I started feeling ill and putting on weight.
My bloods at the time (October 2016) was TSH normal and T4 9 (12-22)
Been referred to an endo that said everything is fine but the goiter needs to be looked at.
Got a referral to ENT more scans and biopsy it was decided to remove my left thyroid. It was getting serious and interfering with breathing and swallowing.
December: TSH 0.84 (0.3-4.5), T4 8.6 (12-22)
Surgery was done in January
Initially after the surgery I was feeling better but hings quickly started going bad.
February: TSH 2.47 (0.3-4.5), T4 10.6 (12-22)
April: TSH 2.96 (0.3-4.5), T4 12.2 (12-22)
June: TSH 1.4 (0.3-4.5), T4 11.7 (12-22)
Follow up with Endo she said I am fine and will survive just fine. No interest in listening to my symptoms. Making sure I know she is the only Endo at the hospital.
Anyway I decided to get bloods done by BlueHorizon because I can feel I am not fine. The usual symptoms is getting worse.
Putting on weight, brittle nails, hair thinning, no concentration, lack of confidence, emotional, constipation, tinnitus, mood swings, overheating, easily cold. The list just goes on.
BlueHorizon results was a bit of an eye opener.
CRP 2.60 <5.0 mg/L
Ferritin 69.0 30 - 400 ug/L
TSH 2.20 0.27 - 4.20 mIU/L
T4 Total 81.8 64.5 - 142.0 nmol/L
Free T4 12.25 12 - 22 pmol/L
Free T3 4.77 3.1 - 6.8 pmol/L
Anti-Thyroidperoxidase abs 7.9 <34 kIU/L
Anti-Thyroglobulin Abs 10 <115 kU/L
Vitamin B12 270
Deficient <140 pmol/L, Insufficient 140 - 250, Consider reducing dose >725
Serum Folate L 4.74 8.83 - 60.8 nmol/L
Obviously there are serious issues with my vitamins that needs sorted but what is the feeling about the thyroid levels?
Sorry for the long post but I feel it was necessary to give a bit of background.
Another thing I was wondering about. I am working permanent nightshift. What would TSH do during the night while working. Considdering that its a good idea to get bloods done early while THS is still high. Would I be correct in thinking TSH would be low after a nights work?